MISS PRIMA MARDHATILLAH MUZIRMAN NP
NPI 1437551595
Nurse Practitioner - Family in Jackson, MI
About Miss Prima Mardhatillah Muzirman Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MISS PRIMA MARDHATILLAH MUZIRMAN NP (NPI 1437551595) is an individual family provider in Jackson, Michigan, licensed in Michigan (4704248754) and active in the NPI registry since September 2014. She is enrolled in Medicare PECOS and is a graduate of Michigan State University College Of Human Medicine (2014).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Miss Prima Mardhatillah Muzirman Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 49201 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
JACKSON, MI 49201
JACKSON, MI 49201
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Prima Muzirman's NPI number?
The NPI number for Prima Muzirman is 1437551595. It was assigned to this individual provider in the NPPES registry on September 19, 2014.
Where is Prima Muzirman located?
Prima Muzirman practices at 1780 E Parnall Rd, Jackson, MI 49201. The listed phone number is (517) 780-6004.
What is Prima Muzirman's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Prima Muzirman enrolled in Medicare?
Yes. Prima Muzirman is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
What insurance does Prima Muzirman accept?
Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Prima Muzirman as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Prima Muzirman was last updated on September 19, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Miss Prima Mardhatillah Muzirman, NP · NPI 1437551595
Family physician in Jackson, Michigan. Individual provider, active in the CMS NPPES registry since September 19, 2014.
## Identity
- **NPI:** 1437551595 (Entity type: Individual)
- **Enumerated:** September 19, 2014
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 4704248754 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 1780 E PARNALL RD, Jackson, MI 49201-7136
- **Phone:** (517) 780-6004
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Michigan State University College Of Human Medicine, class of 2014
## Record status
- **NPPES last updated:** September 19, 2014
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Source: [NPI Profile](https://npiprofile.com/npi/1437551595) · Data from the CMS NPPES public registry.